Textbook of Facial Rejuvenation: The Art of Minimally Invasive Combination Therapy: Creams, Toxins, Scalpels and Surgery PDF
Preview Textbook of Facial Rejuvenation: The Art of Minimally Invasive Combination Therapy: Creams, Toxins, Scalpels and Surgery
TEXTBOOK OF FACIAL REJUVENATION The art of minimally invasive combination therapy TEXTBOOK OF FACIAL REJUVENATION The art of minimally invasive combination therapy Editor J Nicholas Lowe MD FRCP Cranley Clinic for Dermatology London UK and Southern California Dermatology, Laser and Psoriasis Center Santa Monica, CA USA Co-editors Alastair Carruthers FRCP Jean Carruthers MD FRCS(C) FRC(OPTH) Zoe Diana Draelos MD PA Christopher EM Griffiths MD FRCP Richard D Glogau MD Arnold W Klein MD Gary P Lask MD informa healthcare New York London CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2002 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20130325 International Standard Book Number-13: 978-0-203-09167-8 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. 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Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Contents Contributors vii Acknowledgements X 1 Introduction Nicholas J Lowe 2 Photoprotection 3 Nicholas J Lowe 3 Topical retinoids for the ageing face 13 Christopher EM Griffiths 4 Other topical agents for the aging face 25 Zoe Diana Draelos 5 Facial rejuvenation: psychological issues 39 Eileen Bradbury 6 Glycolic acid and other superficial peels 49 Zoe Diana Draelos 7 Combination chemical peels 60 Gary D Monheit 8 Pigmentation of the ageing face - evaluation and treatment 73 Nicholas J Lowe and Suzanne Kqf'aja 9 Treating facial vascular lesions with lasers 85 Dina Yaohmai and Jerome M Garden 10 Erbium:YAG laser rejuvenation 101 Roland Ka'!fmann and Daniel Flemin9 11 Laser skin resurfacing 123 Nicholas J Lowe, Philippa Lowe, Paul Ymilauchi and Gary P Lask 12 Non-ablative lasers for skin rejuvenation 139 Teresa T Sorianfl, Paul S Yamauchi and Gary P Lask VI Contents 13 Botulinum toxin-A development and use for upper facial lines 1 51 Jean Carruthers and Alastair Carruthers 14 Botulinum toxin: combination treatments for the face and neck 157 Nicholas J Lowe 15 Botulinum neurotoxin A for the management of lower facial lines and platysma! bands 171 Andrew Blitzer 16 Temporary dermal fillers - European experiences 177 Nicholas J Lowe 17 Temporary dermal fillers - USA experiences 189 Arnold W Klein 18 Liposuction of the neck and microlipoinjection of the face 203 Richard D Glogau 19 Dermal fillers: permanent injectable and implant devices 215 Nicholas J Lowe 20 Objective measurement of lips augmented with SoftForm using three-dimensional laser surface scanning 227 Rrian A Coghlan, Reverie; Westwood and Sue Nicholl 21 Hair transplantation techniques 235 Dow B Stough and jq]Tey M lVhitworth 22 Facial hair removal 245 jean l.uc Levy and .~de/inc de Ramecomt 23 Minimally invasive procedures in periocular rejuvenation 259 jean Carruthers and Alastair Carruthers 24 Use of the endoscope in facial aesthetic surgery 269 Brian A Coghlan 25 Rejuvenation of the neck 277 William R Cook, Jr and Kim K Cook 26 Reproducible photography for the aging face 297 Douglas Canfield 27 Digital photography 307 joseph Xiamtu, lil 28 When and how to combine treatments 321 Nicholas J Lowe Appendix I -The consultation 327 Nicholas J Lowe Appendix II - Patient information and consent forms 329 J \'icholas Lowe Index 403 Contributors Andrew Blitzer MD DDS FACS Jean Carruthers MD FRCS(C) Professor of Clinical Otolaryngology FRC(OPTH) College of Physicians and Surgeons of Carruthers Dermatology Centre Inc Columbia University Vancouver New York British Columbia USA Canada and Eileen Bradbury Clinical Professor The Alexandra Hospital Division of Ophthalmology Cheadle University of British Columbia Cheshire Canada UK Brian A Coghlan MD FRCS FRCS Douglas Canfield (Plast) Canfield Scientific Inc. Consultant Plastic, Aesthetic and Fairfield Reconstructive Surgeon New Jersey London USA UK and Alastair Carruthers FRCP Department of Plastic Surgery Carruthers Dermatology Centre Inc Chelsea & Westminster Hospital Vancouver London British Columbia UK Canada and Kim K Cook Clinical Professor Coronado Skin Medical Center, Inc Division of Dermatology Coronado University of British Columbia California Canada USA viii Contributors William R Cook, Jr Suzanne Kafaja MD Coronado Skin Medical Center, Inc Clinical Research Fcllmv Coronado Clinical Research Specialists California Santa Monica USA California and Zoe Diana Draclos MD PA UCLA School of Medicine High Point Los Angeles North Carolina California USA USA Daniel Fleming MD Roland Kaufmann MD Cosmetic and Laser Surgcr;· Institute of Professor and Chair of Dermatology Australia Medical Director of frankfurt Unin-rsitv Brisbane Hospital Australia Zentrum der Dermatologic und Venerologie Jerome M Garden MD Klinikum der JW Goethe-Universitat Northwestern University Medical School Frankfurt am Main Department of Dermatology Gcrmanv E,·anston Illinois Arnold W Klein MD and Professor of Dermatology I Medicine Children's Memorial Hospital UCLA Division of Dermatolog; and Plastic Beverly Hills Surgery California Chicago USA Illinois USA Gary P Lask MD UCLA School of Medicine Richard D Glogau MD Los Angeles San Francisco California California USA USA and Clinical Research Specialists Christopher EM Griffiths MD FRCP Santa Monica Dermatology Centre California Hope Hospital USA Salford UK Jean Luc Levy MD Medical Director, Centre Laser Dermatologique, Marseille Co-director of European University Board of Lasers Consultant, Laser Department Hospital Red Cross Clinic Marseille France Contributors IX Pamela S Lowe NCSP Teresa T Soriano MD Senior Administrator Division of Dermatology Cranlcv Clinic University of California London, UK Los Angeles Southern California Dermatology, Laser USA and Psoriasis Center Dow B Stough MD Santa Monica, CA The Stough Clinic USA Hot Springs Arkansas Philippa Lowe MD ChB USA Cranley Clinic for Dermatology London Beverl ev Westwood RN MSc .I UK PS Research Chichester Gary D Monheit MD UK Dermatology Associates Birmingham Jeffrey M Whitworth MD Alabama Passaic USA New Jersey USA Joseph Niamtu, III MD Richmond Dina Yaghmai MD Virginia Chicago USA Illinois USA Sue Nicholl BSc UniYersity College London Hospital NHS Paul S Yamauchi MD PhD Trust UCLA School of Medicine Department of Medical Physics and Los Angeles Bioengineering California London USA UK and Clinical Research Specialists Adeline de Ramecourt MD Santa Monica Flcctrology Consultant California Paris USA France Acknowledgements I am grateful to m; colleagues and teachers skills, innovation and insight to print and who for developing nc,,· concepts and details of have contributed so much to the specialties of therapy that have transl(Jrmed my patient dermatologic and cosmetic surgery. Thank practice over the last fe\v decades, and to you for gi' ing yet more of ;·our precious time m;· patients for their loyalty and under in contributing to the book. standing. I would like to thank the publisher This is an exciting, continuouslv evolv Martin Dunitz and his editorial staff for ing medical and surgical arena that is encouraging me and refining the book. I attracting increasing professional as well as hope many will find it of use. public interest as novel facial rejm-cnation Finally, I would like to thank my wife treatments are introduced, refined, and and sage advisor, Pamela, my beautiful some, appropriately, discarded! daughters Nichola and Philippa for tolerat It is essential that for the safe and satisfac ing me, my many faults and preoccupations. tory outcome of patient treatment in the I have been able to take time awav from cosmetic field that physicians and surgeons are family commitments to complete this book thoroughlv trained and specialised. I \\ould and other projects that would have been like to thank my co-editors and co-authors of impossible without their patience and this book who have brought their outstanding support. 1. Introduction Nicholas J Lowe Facial aging is perceived by some to be an inevitable leading indicators of age. Of interest is that up to outward sign of the aging process. However, it is felt 70% of 30-50 year olds say that they look younger by others to be an event that should be delayed or than their actual age and feel that they have fewer prevented if possible. Treatments that enable them to signs of facial aging than their contempories. remain looking as youthful as possible may offer Statistically, of course, this is impossible, but it social, personal and professional advantages. remains a common misperception. The many treatment choices currently available While it is true that beauty is only skin deep and are the subject of this book. Over the last decade that it is the person inside who matters most, we numerous new treatment modalities have emerged know that we are being judged constantly, if only which allow the use of minimally invasive and often because we know that we judge others on how they non-surgical approaches to rejuvenate the aging face. look and dress. Many people, particularly those in In addition, new topical and photoprotective agents competitive social and professional scenarios, want to have become available to enable us to protect the skin look as youthful as possible for as long as possible from UV damage, along with maintenance treatments because they feel that their prospects are significantly to retain the most youthful possible skin appearance, higher if they look young and that they will be more and to reduce premature or accelerated skin aging. successful both socially and professionally. 1 The development of different novel types of lasers There is a growing trend in many countries of the leading to non-ablative and resurfacing laser skin acceptability of cosmetic procedures. • 60% of women rejuvenation, often in combination with vascular and overall feel that they would be interested in having a pigment specific lasers, enable the skilled practitioner procedure if it can be done safely, and if the results to offer realistic (both with regard to result and cost) would be subtle enough that it would not be obvious non -surgical techniques to rejuwnate the face. that a procedure had been carried out. Compared to Rightly or wrongl;', there arc associations between just fhc years ago, 30 50 year olds arc less likely perceptions of youth and age, The younger people these days to accept that they should allow nature to appear, the more attractive they appear, presenting take its course and not consider defying it. Today, it great promise for the future, being' cool' and having the is more likely that people ''ill do whatever they can potential for fun, whereas the older-looking individual to slow down the aging process. tends to be ignored and discounted with limitations and Perceived facial age is often the key to presumed low expectations placed on their potential. chronological age. Patterns still exist, however, and it There is, in addition, a common denial by the individual of their own aging process. Facial aging, in ·'2001 Procedural Statistics American Academy of Cosmetic particular wrinkles, solar lentigo and other pigment Surgery, Chicago. Website: w \\ w. cosmetic-surgery. org/ changes, and telangiectasia arc felt b;· manv to be Media Center/mcclia_center.html.
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